Shilpanjali Jesudason
A5065567450- Pregnancy and Medication Impact
- Pregnancy and preeclampsia studies
- Dialysis and Renal Disease Management
- Maternal and fetal healthcare
- Mental Health and Patient Involvement
- Renal Diseases and Glomerulopathies
- Health Systems, Economic Evaluations, Quality of Life
- Adolescent and Pediatric Healthcare
- Palliative Care and End-of-Life Issues
- Healthcare cost, quality, practices
- Prenatal Screening and Diagnostics
- Chronic Kidney Disease and Diabetes
- Primary Care and Health Outcomes
- Neurological Complications and Syndromes
- Renal and Vascular Pathologies
- Childhood Cancer Survivors' Quality of Life
- Patient-Provider Communication in Healthcare
- Indigenous Health, Education, and Rights
- Healthcare Decision-Making and Restraints
- Healthcare Policy and Management
- Potassium and Related Disorders
- Clinical practice guidelines implementation
- Central Venous Catheters and Hemodialysis
- Acute Kidney Injury Research
- Maternal Mental Health During Pregnancy and Postpartum
Royal Adelaide Hospital
2015-2025
The University of Adelaide
2016-2025
South Australian Health and Medical Research Institute
2019-2024
Kidney Health Australia
2018-2024
Australia and New Zealand Dialysis and Transplant Registry
2019-2024
Central Adelaide Local Health Network
2022-2023
RELX Group (United States)
2022-2023
University of South Australia
2021
Monash University
2021
The University of Melbourne
2021
Summary Background and objectives Pregnancy in ESRD is rare poses substantial risk for mother baby. This study describes a large series of pregnancies women undergoing long-term dialysis treatment reviews maternal fetal outcomes. Specifically, who had conceived before after starting are compared. Design, setting, participants, & measurement All reported to the Australian New Zealand Dialysis Transplantation Registry from 2001 2011 ( n =77), following introduction specific parenthood data...
Pregnancy outcomes in a transplant population have not been well documented. Data from the Australia and New Zealand Dialysis Transplant Registry (ANZDATA) National Perinatal Epidemiology Statistics Unit (NPESU) were analyzed. We described pregnancy within compared these to for general population. Six hundred ninety-two pregnancies 447 recipients reported between 1971 2010 (ANZDATA); corresponding 5 269 645 nationally 1991 (NPESU). At mothers had median age of 31 years (interquartile range...
In Brief Background Inconsistencies in outcome reporting and frequent omission of patient-centered outcomes can diminish the value trials treatment decision making. We identified critically important domains kidney transplantation based on shared priorities patients/caregivers health professionals. Methods a 3-round Delphi survey, professionals rated importance for 9-point Likert scale provided comments. During rounds 2 3, participants rerated after reviewing their own score, distribution...
Patient activation refers to the knowledge, confidence and skills required for management of chronic disease is antecedent self-management. Greater self-management in kidney (CKD) results improved patient experience outcomes. To examine levels people with CKD stage 5 pre-dialysis determine associations sociodemographic characteristics, treatment adherence healthcare utilisation. People not receiving dialysis from one Australian care service. was measured using 13-item Activation Measure...
Background: Cognition is a research priority for people living with chronic kidney disease (CKD), but identification of critical questions lacking. This study aimed to determine which cognition-related are most important CKD stakeholders. Methods: A modified Delphi technique 3 survey rounds was used. The sample included panels (People lived experience, Researchers, and Clinicians) recruited through international patient networks, societies, snowball sampling email invitations. Survey were...
Abstract Background Several clinical trials have shown beneficial effects of sodium-glucose co-transporter 2 (SGLT2) inhibitors on kidney disease progression and cardiovascular morbidity mortality in patients with chronic (CKD) without type diabetes mellitus. However, some subgroups CKD been excluded from participation these trials, such as severely impaired function, dialysis, transplant recipients. Methods The Renal Lifecycle trial (NCT05374291) is a pragmatic, international, multicenter,...
To characterise the epidemiology and outcomes of Lupus Nephritis (LN) in Fiji. All adult LN cases diagnosed from 2016 to 2020 at national referral hospital were included. Treatment response, kidney failure, dialysis dependence death reported. From 33 cases, a crude annual incidence 2.44 (95% CI 1.73-3.43) per 100,000 population an age-standardised 2.37 0.65-4.09) was derived. The median age 25.7 years (IQR 19.5-32) with predominance indigenous iTaukei ethnicity (67%). Kidney biopsy adequate...
Solid organ transplantation (SOT) offers people with end-stage disease an increased quality of life, which includes the return fertility and potential for pregnancy. Although number pregnancies has increased, definitive recommendations have been lacking. To address reproductive health in SOT recipients, American Society Transplantation Women’s Health Community Practice held a virtual Controversies Conference subject matter experts gathered to discuss topics contraception, immunosuppression,...
Kidney transplantation facilitates pregnancy in women with end-stage kidney disease; however, the impact of on short and longer-term graft function is uncertain.Obstetric, fetal, outcomes for pregnancies from a large Australian transplant unit (1976-2015) were reviewed.There 56 35 mean age at conception 30.4 ± 0.6 years transplant-pregnancy interval 5.5 0.5 years. The live birth rate was 78.9%. Preterm (<37 weeks) occurred 56.5%. Hypertensive disorders affected 76% (pre-eclampsia 30%)....
Background and objectives Although patient caregiver involvement in research is widely advocated to improve the relevance uptake of study findings, barriers uncertainties achieving this goal remain. This aimed describe experiences perspectives their previous research, inform strategies strengthen research. Design, setting, participants, & measurements Semistructured interviews were conducted with 23 adult patients CKD caregivers who had previously been involved from Australia, United...
Little is known about the extent, perceptions or experiences of consumers involved in clinical trials across Australia. The purpose this National study was to better understand activity and trial networks (CTNs), research co-ordinating centres their consumers, around consumer involvement trials.CTNs who were members Australian Clinical Trials Alliance (ACTA), activities these organisations, invited participate online surveys. Surveys completed between April September 2018.80 respondents...